Provider Demographics
NPI:1811204704
Name:CHA MASEK, LINDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:CHA MASEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:MEE
Other - Last Name:CHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5431 LONGVIEW ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5605
Mailing Address - Country:US
Mailing Address - Phone:214-796-9983
Mailing Address - Fax:
Practice Address - Street 1:6336 GREENVILLE AVE STE A
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-1303
Practice Address - Country:US
Practice Address - Phone:972-483-9783
Practice Address - Fax:972-483-9778
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice